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General NPI Number Information
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NPI Number | 1396609376
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Entity Type | Individual
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Provider Name | LAWRENCE CHOI ABO OPTICIANA
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Gender | Male
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 21320 SW LANGER FARMS PKWY
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City | SHERWOOD
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State | OR
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Zip | 97140-9105
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Country | US
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Telephone | 503-825-4055
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Fax | 503-625-0549
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Provider Business Mailing Address
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Address Line | 21320 SW LANGER FARMS PKWY
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City | SHERWOOD
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State | OR
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Zip | 97140-9105
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Country | US
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Telephone | 503-825-4055
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Fax | 503-625-0549
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 260897
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License Number State | CA
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